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Denis Zanette died of natural causes according autopsy & not heart attack(9 posts)

Denis Zanette died of natural causes according autopsy & not heart attackbent_spoke
Jan 21, 2003 8:00 AM
Velo News report:
re: Denis Zanette died of natural causes according autopsy & not heart attacknetso
Jan 21, 2003 8:42 AM
It says he died from a "previously undiagnosed heart condition", sounds like he had a heart attack to me!
Here's a question....PseuZQ
Jan 21, 2003 10:41 AM
How does one avoid this whole "previously undiagnosed" business? Does one walk into the doctor's office and say, "Hi. I'm a cyclist. [Or a high school basketball player or a runner or a football player.] Could you please scan for ailments that might cause me to drop dead?"

Seriously, does this require a stress test or something? My doctor visits usually entail a perfunctory pulse check and the usual "damnthat'scold!" stuff. Doc knows I ride, but this never comes up.

Apologies if this was covered in the thread that spelled out the odds of being smitten while riding actually happening.
No one anwser....bent_spoke
Jan 21, 2003 11:34 AM
You hear of young college football & basketball players die on occasion. I would image that outside of an ekg or stress test you cann't be certain & maybe not even then.

In the past, my wife was required to take medication prior to dental work because of a heart murmur & now they say that she doesn't need the medicine. I don't know whether that's improved techniques or uninformed doctors. I'd like to believe that they better understand or my wife's condition corrected itself. If you're unsure & getting up there, you should probably check into it. [omo]
No one anwser....bikediver
Jan 21, 2003 4:33 PM
In some cases, an EKG or stress test will not provide an indication that an individual has some sort of heart condition or is a likely candidate for a heart attack. My cardiologist said it probably would not have helped me this past summer. The fact that some of these young athletes are in such excellent shape and/or so accustomed to stressing their bodies more than the average person can mask some signs of heart problems (I'm not counting myself in that group).

This is apparently part of the reasoning why there may not be early warning signs and/or a stress test and/or EKG may not reveal heart problems. I would imagine that pro cyclists and other pro athletes are examined and put through a battery of medicals tests such as EKGs and stress tests all the time. Unfortunately sometimes that doesn't help prevent people such as Zanette (or the St Louis Cardinals' pitcher that died in his sleep this past summer) from dying.
No one anwser....desertmd
Jan 22, 2003 1:31 PM
It sounds likely your wife has mitral valve prolapse, which is no longer an indication by itself for antibiotics prior to dental procedures (subacute bacterial endocarditis prophylaxis). Generally mitral valve prolapse only requires SBE prophylaxis if there is also insufficiency of the valve (i.e. it leaks). To speak of sudden cardiac death, there are many reasons it happens - and there is of course no way to be certain you don't have one. However, clues that should tip you off is if anyone in your family has died at a young age from presumed cardiac death or otherwise unexplained. If you have normal EKG (which does a good job of measuring intervals (i.e. the qt interval), and no murmurs on cardiac auscultation (no indication of valvular abnormality), and no family history of sudden death - you are probably ok. But then there a re alot of factors that play into heart disease including diabetes, cholesterol, smoking, etc... So you have to consider the whole gumba there and decide where you fit with respect to probability that you have some disease. If you have none of the above, exercise without difficulty (no warning signs like shortness of breath, chest pressure, leg swelling, etc), you are likely low risk for disease. And even then - all I could say is you are low probability - but not 100%. Generally when people die suddenly such as the Cardinal's pitcher (who had a heart attack), it only appears sudden as people often ignore signs there is trouble. I have found in my experience in speaking with relatives, friends, etc of sudden death victims, that they had in fact been not there usual selves, or had complained of some ailment or another at some point in the recent past which pointed to something that was going on - that was ultimately ignored for whatever reason. I also can't say how many times I have seen people with heart attacks that are several days out before they seek medical attention - you have to listen to your body and pay close attention to changes. Just some thoughts...
Yes, I meant it wasn't drug induced as they prev implied.. [nm]bent_spoke
Jan 21, 2003 11:37 AM
Stress test every two yearsStewartK
Jan 21, 2003 1:21 PM
Fred Matheny recommends cyclists get a stress test every two years starting at 44.

Wouldn't have helped Zanette, but it would have helped Ed Burke. In Zanette's case, it's not clear yet whether d rugs played a factor. I'm not saying they did, but in many cases of young athletes dropping d ead, it does play a factor. We'll have to wait and see.
drugs? more likely dehydrationcyclopathic
Jan 22, 2003 12:35 PM
and/or MG deficiency. You're running serious heart attack risk while dehydrated. In this conditions I doubt stress test would show much.